| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4035 |
Enteral feed supp pump per d |
10,191 |
5,674 |
$995K |
| S9342 |
Hit enteral pump diem |
84,002 |
2,472 |
$613K |
| B4034 |
Enter feed supkit syr by day |
4,288 |
2,332 |
$162K |
| B4224 |
Parenteral administration ki |
1,733 |
320 |
$136K |
| B4088 |
Gastro/jejuno tube, low-pro |
1,652 |
964 |
$131K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
929 |
482 |
$102K |
| A4305 |
Drug delivery system >=50 ml |
1,165 |
314 |
$84K |
| B4161 |
Ef ped hydrolyzed/amino acid |
267 |
103 |
$83K |
| A4221 |
Supp non-insulin inf cath/wk |
3,943 |
1,562 |
$54K |
| B4220 |
Parenteral supply kit premix |
1,736 |
320 |
$46K |
| S9343 |
Hit enteral bolus nurs |
4,917 |
193 |
$45K |
| 99601 |
|
1,218 |
383 |
$41K |
| A4222 |
Infusion supplies with pump |
1,226 |
354 |
$41K |
| B4185 |
Pn soln nos 10 grams lipids |
532 |
61 |
$41K |
| B4152 |
Ef calorie dense>/=1.5kcal |
1,242 |
453 |
$17K |
| B9002 |
Enter nutr inf pump any type |
342 |
307 |
$13K |
| A4216 |
Sterile water/saline, 10 ml |
291 |
169 |
$4K |
| B9998 |
Enteral supp not otherwise c |
283 |
202 |
$2K |
| 99602 |
Nursing care in home rn |
43 |
12 |
$925.00 |